Exeter - devonhealthandwellbeing.org.uk€¦ · The population of Exeter is predicted to increase...

v1.1 March 2012

Joint Strategic Needs Assessment

Local Authority Health Profile 2010-11

Exeter

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47.6 females per 1000 aged 15 to 44 statistically higher

82.6 years statistically higher

Statements 3.5% of school pupils statistically higher

School Action+ 8.3% of school pupils statistically higher

17.9 per 1,000 children aged 10-17 statistically higher

50.9% of DCC school pupils not statistically different

10.5% of school pupils statistically higher

6.5% of school pupils statistically higher

Living in care homes 25.9 per 1000 population aged 65+ statistically higher

Community based care 17.6 per 1000 population aged 65+ statistically lower

Targeted support services 29.8 per 1000 population aged 65+ not statistically different

Assessments 71 per 1000 population aged 65+statistically higher

Reviews 68.2 per 1000 population aged 65+ statistically higher

Living in care homes 0.71 per 1000 population aged 18 to 64 not statistically different

Community based care 2.8 per 1000 population aged 18-64 not statistically different

Targeted support services 0.9 per 1000 population aged 18-64 not statistically different

Assessments 0.35 per 1000 population aged 18+ not statistically different

Reviews 1.6 per 1000 population aged 18+ not statistically different

Living in care homes 0.35 per 1000 population aged 18 to 64 not statistically different

Community based care 0.69 per 1000 population aged 18 to 64 not statistically different

Targeted support services 0.59 per 1000 population aged 18 to 64 statistically higher

Assessments 1.3 per 1000 population aged 18 to 64 not statistically different

Reviews 2.5 per 100,000 population aged 18 to 64 not statistically different

Living in care homes 0.28 per 1000 population aged 18 to 64 statistically lower

Community based care 6.1 per 1000 population aged 65+ not statistically different

Targeted support services 1.3 per 1000 population aged 18-64 not statistically different

Assessments 15.1 per 1000 population aged 18-64 statistically lower

Reviews 12.2 per 1000 population aged 18-64 statistically lower

12.2 per 1000 population aged 18+ statistically lower

Domestic Violence 20.5 per 1000 population aged 18+ statistically higher

Drug 2.8 per 100,000 population aged 18+ statistically higher

Alcohol 9.9 per 1000 population aged 18+ statistically higher

1071 DASR per 100,000 population statistically lower

368 DASR per 100,000 population statistically higher

210 DASR per 100,000 population statistically higher

78.4 DASR per 100,000 population not statistically different

1576 DASR per 100,000 population Significantly Higher

Hospital

Activity

Outpatient Attendances

Elective Admissions

Accident and Emergency Attendances

Emergency Admissions

Alcohol Related Admissions

Youth Offending

Carer Assessments and Reviews

GCSE Performance

Ethnicity

First Language

Mental Health

Condition

Physical

Disabilities

Learning

Disabilities

Executive Summary

A reliable estimate of the prevalence of the BME population in Exeter is not currently available. This will be

updated upon the release of the 2011 census data.

This executive summary highlights the main findings of this document in one place. Datasets for which a statistical test

could be conducted are shown in the table below. Where statistical tests were not appropriate, summary statements

are included below:

The population of Exeter is predicted to increase by 15833 people between 2011 and 2026, a rise of 12.6%.

Within Exeter there are 9 wards with an under 18 conception rate higher than the Devon average and 5 wards

with a rate lower than the Devon average. The wards of Exwick, Priory and St James have a statistically

significantly higher rate compared to the NHS Devon average.

Section / Data Rate

Birth Rate

Life Expectancy

Adults

Children &

Young

People

Crime

Aged 65+

SEN

Statistically Higher RateStatistically Lower Rate Rate Not Statistically Different

1. Introduction 3

2. Population 4

2.1 Current Population 4

2.2 Population Projections 5

2.3 Black and Minority Ethnic 6

3. Birth Rate 7

4. Life Expectancy 7

5. Mortality 8

6. Children and Young People 9

6.1 Special Educational Needs 9

6.2 Youth Offending 10

6.3 GCSE Performance 11

6.4 Ethnicity in schools 12

6.5 English as an Additional Language 12

6.6 Teen Conceptions 13

7. Adults 14

7.1 Older People Aged 65 and Over 15

7.2 Adults with Learning Disabilities 18

7.3 Adults with Mental Health Conditions 21

7.4 Adults with Physical Disabilities 25 7.5 Carers Services/Support and User/Carer Feedback 28

7.6 Crime 30

7.7 Smoking 32

8. Hospital Activity 33

8.1 Outpatient Attendances 33

8.2 Accident and Emergency Attendances 33

8.3 Elective Admissions 34

8.4 Emergency Admissions 34

8.5 Alcohol Related Admissions 35

Contents

Figure 1: Detailed Map of Exeter.

Any feedback or questions concerning the information in this report would be gratefully received. We would be keen to

receive feedback on whether you recognise the community as described in the profile, if you feel there is any key

information missing or there are any local priorities or issues you wish to identify. Please email the NHS Devon Public

Health Intelligence Team at [email protected].

This is the Devon Joint Strategic Needs Assessment Health Profile for Exeter.

The aim of the Joint Strategic Needs Assessment is to collaboratively identify current and future health and well being

needs and inform future service planning and delivery. The profile contains a range of socio-demographic and health

related data, which together provide a detailed assessment of current need and service activity at a local level. In

addition to data relating to the Exeter Locality, information has been provided for the other NHS Devon Localities, and for

Devon as a whole so that theExeter Locality can be compared to these other areas.

Data for this report was gathered and collated by the NHS Devon Information Teams, and the Devon County Council

Adult and Community Service and Children and Young Peoples Service and Strategic Intelligence teams.

A glossary will be made available providing detailed definitions and background information for the measures in this

report. At the back of this report there is an appendix of references to other documents providing more detailed

information on the topic areas covered in this profile.

1. Introduction

0-4 3152 3244

5-9 2670 2888

10-14 2827 2928

15-19 4301 4107

20-24 7970 6889

25-29 5052 4950

30-34 4226 4573

35-39 3888 4316

40-44 4096 4448

45-49 3971 4246

50-54 3325 3570

55-59 3180 3070

60-64 3223 3239

65-69 2603 2336

70-74 2231 1867

75-79 1976 1565

80-84 1791 1137

85+ 2022 893

Total 62504 60266

Figure 3: Exeter population pyramid compared to Devon (June 2010) Data Source: Patient and Practitioner Services

Agency

Age Group Female Male

Figure 2: Exeter population size by age group and gender (June 2010)

Data Source: Patient and Practitioner Services Agency

A population pyramid for Exeter can be seen below. As a comparison, the Devon population pyramid is shown by the

black lines.

2. Population

2.1 Current Population

2.6

2.2

2.3

3.5

6.5

4.1

3.4

3.2

3.3

3.2

2.7

2.6

2.6

2.1

1.8

1.5

1.6

2.6

2.4

2.4

3.3

5.6

4.0

3.7

3.5

3.6

3.5

2.9

2.5

2.6

1.9

1.5

1.3

0.9

0.7

1.6

6 4 2 0 2 4 6

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

Exeter Devon

the total number in the 20-44 age band is predicted to increase by 2512 people, a rise of 5.5%.

- the total number in the 45-64 age band is predicted to increase by 5938 people, a rise of 16.9%.

- the total number in the 65-84 age band is predicted to increase by 3136 people, a rise of 20%.

- the total number in the 85+ age band is predicted to increase by 1560 people, a rise of 50.2%.

Year 0-4 5-9 10-14 15-19 20-24 25-39 40-59 60-64 65-69 75-79 80-84

2001 5600 6100 6200 8100 11400 24700 26300 5000 4600 3800 2700

2006 5600 5500 6000 8500 15600 27000 28100 5400 4600 3700 3000

2011 6494 5344 5480 8429 15099 30843 28651 6479 4725 3866 3004

2016 6855 6151 5262 7855 14720 33384 29544 5887 5746 3948 3254

2021 6922 6520 6079 7676 14479 35072 30689 6136 5190 4125 3415

2026 6795 6609 6478 8552 14800 33654 34417 6651 5429 5061 3626

85+

Figure 4: Exeter population projection by age group. Data source: Jan 2010 DCC population projections

70-74

4721

4239

2600 111300

Total

4200

Figure 5: Exeter population projection by age group. Data source: Jan 2010 DCC population projections

125630

2700 1198004100

- the total number in the 0-19 age band is predicted to increase by 2687 people, a rise of 10.4%.

3467

3110

5218

4106

4039

4670 141463

130312

135560

2. Population

2.2 Population Projections

The population of Exeter is predicted to increase by 15833 people between 2011 and 2026, a rise of 12.6%. Over the

same time period:

0

20000

40000

60000

80000

100000

120000

140000

160000

2001 2006 2011 2016 2021 2026

Age 85+

Age 80-84

Age 75-79

Age 70-74

Age 65-69

Age 60-64

Age 40-59

Age 25-39

Age 20-24

Age 15-19

Age 10-14

Age 5-9

Age 0-4

2.3 Black and Minority Ethnic

Figure 6: Map of BME prevalence in Devon (2001) Data Source: 2001 Census

More up to date information relating to the prevalence of the BME population in schools (see Section 6.4) suggests that

since 2001 there may have been around a five fold increase in BME over the past 10 years.

2. Population

Until the release of the 2011 census data, there is very little up to date information relating to the proportion of people

from a black or minority ethnic background. The map below shows the prevalence of the BME population in Devon by

Market Town area based on the 2001 Census. Prevalence at NHS Locality level will be calculated once the 2011 census

data is available.

Figure 8: Local Authority life expectancy (2005-09). Data source: Public Health Mortality Files, Office for National

Statistics, Adapted from data from the Office for National Statistics licensed under the Open Government Licence v.1.0

3. Birth Rate

Birth rates are calculated using the number of births registered annually and are usually expressed as a rate per 1000

population (females aged 15 to 44). Over the last 5 years the birth rate in Devon has increased by 8.2%. The graph shows

that in Exeter the birth rate per 1000 women aged 15 to 44 is 47.6, compared to a rate of 52.8 per 1000 for Devon. The

rate for Exeter is statistically lower than the Devon rate.

Figure 7: Local Authority birth rate per 1000 females aged 15-44, (2006-10). Data Source: Public Health Birth Files,

Adapted from data from the Office for National Statistics licensed under the Open Government Licence v.1.0, © Crown

Copyright 2011

4. Life Expectancy

The average life expectancy for the population of the Exeter Locality is 82.6 years. This is 0.1 years longer than the Devon

average of 82, which is not a statistically significant difference. The average life expectancy in Devon is higher than the

national average of 80.2 years.

60.2 57.6 57.1 55.4 54.3 49.5 47.9 47.60

10

20

30

40

50

60

70

Mid Devon North Devon Torridge West Devon Teignbridge East Devon South Hams Exeter

District Exeter Significant Devon

83.6 82.6 82.5 82.4 82.4 82.4 82.2 81.775

76

77

78

79

80

81

82

83

84

85

East Devon South Hams Mid Devon Torridge West Devon Teignbridge North Devon Exeter


* Including "Injury Undetermined"

Stroke (U75)

Smoking 80.0 88.0

Figure 9: Standardised mortality rates for Exeter

compared to Devon (2005-09) Data source: MORTALITY

DATASET

72.5

88.8

11.7

Circulatory Disease

442.9415.6

205.8

Exeter

394.5442.9

459.8

537.7

487.4 519.3

574.5

Mortality Data

9.6

174.5

Male

Female

Male (U75) 267.1

219.9

33.7

Circulatory Disease

(U75)

7.3

61.7

156.4 167.4167.4

9.9

46.3 48.0

53.1

All (U75)

309.0

All

Cancer 156.0 164.3 164.3

194.8 194.8Female (U75)

Cancer (U75) 95.5

Devon Range

245.0

157.7

149.4

620.2 628.1

Worst

519.3

Devon

5. MortalityA further indicator of the health of an area is the death (mortality) rate. Mortality rates (standardised for age and sex)

for 19 causes of death have been calculated at a Local Authority and Devon level (using deaths registered between 2005

and 2009). The spine chart below compares these rates, and shows whether there is a statistically significant difference

between Exeter and Devon rate.

102.0

Best

77.9

244.6 244.6

102.0 89.7

143.1

45.9

297.7

Suicide*

CHD (U75)

Stroke 43.6

30.1

7.7

9.7

4.9

CHD 76.1

10.2

Accidental Injury 15.1 15.4

Alcohol 10.2

18.3

39.6

8.5

34.0

65.5

59.4

13.0

3.4

1.7Drugs 2.8

6.1

3.9

6.5

24.5

72.5

Figure 10: School SEN Statements - Data Source: DfE School Census (Jan 2011)

Figure 11: School SEN action+ - Data Source: DfE School Census (Jan 2011)

The graph below shows that the percentage of pupils supported at School Action Plus living in in Exeter is 8.3%,

compared to 6.7% for Devon overall. The rate for Exeter is statistically higher than the Devon rate.

School Action Plus

6. Children and Young People

6.1 Special Educational Needs

The graph below shows that the percentage of pupils living in in Exeter who have a statement is 3.5%, compared to

3.4% for Devon overall. The rate for Exeter is not statistically different to the Devon rate.

Statements

In 2011, the number of pupils with additional needs (i.e. Statements, School Action Plus and School Action combined) in

England was 1.67 million, around 21% of pupils. In Devon the percentage is currently 23% (2011). The graphs below

illustrate the percentage of young people supported at School Action Plus and with a Statement based on their home

address. Other pupils who need additional support are provided with this within their school as part of core provision.

Where there are significant variations it reflects the level of support needed within the community. It is the aim of the

authority to enable children with special educational needs to access services and provision within their local

communities wherever possible. Some children with complex needs will require access to specialist support in

additionally resourced provision or special schools.

3.9 3.6 3.6 3.5 3.2 3.0 3.0 2.80

1

2

3

4

5

North

Devon

Teignbridge Torridge Exeter South Hams Mid Devon East Devon West Devon


8.3 8.0 7.7 7.2 7.0 5.8 5.8 5.20

1

2

3

4

5

6

7

8

9

10

Exeter West Devon Torridge North

Devon

Mid Devon East Devon South Hams Teignbridge


Within Devon, such small numbers of First Time Entrants (FTEs) can cause significant statistical variations from one year

to the next, particularly in the smaller towns and communities. In general, around two thirds of FTEs do not reoffend,

but the pattern of those who re-offend more persistently (Persistent Youth Offenders - PYOs) is even more liable to

fluctuation outside of the four largest communities (Barnstaple, Exeter, Exmouth and Newton Abbot). Preventative

work by the Youth Offending Service and Children's Trust is increasingly focused, therefore, on the towns where there is

a longer term pattern of FTEs and PYOs above the Devon average.

Figure 12: Number of Youth offending Team Clients per 1,000 population (10-17 years), 2009 - Data Source: Devon

Youth Offending Team 2009

The graph below shows that the rate of Youth Offending Team clients in Exeter is 17.9 per 1,000 children aged 10-17

compared to 13.2 per 1,000 for Devon overall.

The principle aim of the Youth Justice System is to prevent offending by children and young people aged 10-17. The life

chances of young people who receive a criminal conviction are adversely affected in both the short and long term.

Evidence suggests that preventing the onset of offending and persistent re-offending will improve outcomes for those

children and young people, their families and communities.

The level of offending by children and young people is relatively low in Devon. 938 young people offended in 2010-11,

which equates to 9.8 offences per 1000 population aged 10 to 17. Of these, 491 were first time offenders, 326 were

repeat offenders and 121 were persistent offenders.

The total number of young people aged 10-17 years who offended in Devon has fallen by 31% between 2008-9 and

2009-10 and the overall number of offences committed has fallen by 33% within the same period. The highest number

of offences committed in 2010-11 was violence against the person (23%), theft & handling (17%) and criminal damage

(13%) whereas drug related offences have increased most significantly from 107 offences in 2008-9 to 141 in 2010-11 (32%).


6.2 Youth Offending

17.9 15.7 15.1 13.4 12.5 11.5 9.7 6.60

5

10

15

20

25

Exeter North

Devon

Torridge Teignbridge East Devon South

Hams

Mid Devon West

Devon


Figure 13: Percentage of children attaining five or more GCSE grades A-C, 2010 - Data Source: Devon LDP and Strategic

Commissioning - Children


6.3 GCSE Performance

Key Stage 4 results improved again in 2010 (54.7% gaining 5 A*C including English and Maths), showing an improvement

of nearly 3% on 2009, exceeding the national average by 1.7%. Girls are still outperforming boys with 60.4% to 49.1%

gaining 5 A*C (inc. E&M). 14.4% of students achieved the new recently introduced English Baccalaureate measure, in

comparison to the national figure of 15.1%.

The Local Authority has established a ‘Closing the Gap’ Programme to improve the attainment of the lowest 20% of

achievers, raising their attainment closer to the Devon average. Particular focus areas will be boys, those eligible for

Free School Meals, Special Educational Needs status and Children in Care. There is also a ‘Raising the Bar’ programme to

stretch the most able, but Devon's children are already above the national average in this context.

The graph shows that of those living in Exeter , the percentage of Devon County Council school children attaining five or

more GCSE grades A-C is 50.9%. The rate for Exeter is not statistically different to the Devon rate.

64.1 62.0 56.9 54.6 52.6 50.9 48.0 46.50

10

20

30

40

50

60

70

80

East Devon South

Hams

Mid Devon West Devon Teignbridge Exeter North

Devon

Torridge


In 2011 there were 2,579 pupils speaking English as an Additional Language in Devon schools (2,551 of which were

resident in Devon). This represents 2.9% of the total maintained school population, an increase of around 50% in the

last 3 years (much of this increase is likely to be due to improved recording). There are around 100 different languages

spoken by children and young people in Devon schools, the largest minority languages in 2011 being Polish (381) and

Arabic (139) and 90+ speaking German, Bengali and Malayalam. The graph shows that in Exeter the percentage of pupils

whose first language is not English is 6.5%. The rate for Exeter is statistically higher than the Devon rate.

6.5 English as an Additional Language

Figure 15: Percentage of pupils whose first language is not English - Source: DfE School Census 20/01/2011, DCC IDS and

Strategic Commissioning - Children


Figure 14: Graph of Ethnicity and First Language - Source: DfE School Census 20/01/2011, DCC IDS and Strategic

Commissioning – Children

In 2011 there were 4,663 pupils from a minority ethnic background in Devon schools (4,580 of which were resident in

Devon). This represents 5.2% of the total maintained school population, an increase of around 5% in the last 3 years.

Over 40 schools now have more than 10% of their roll recorded as BME. However, in contrast, there are still a few

schools with no BME pupils. The largest numbers are White Eastern European (637) and White Western European (555).

The graph shows that in Exeter the percentage of pupils from a black or minority ethnic background is 10.5%. The rate

for Exeter is statistically higher than the Devon rate.

6.4 Ethnicity

10.5 6.6 4.9 4.8 4.1 3.8 3.3 2.90

2

4

6

8

10

12

Exeter South Hams Mid Devon East Devon North

Devon

Teignbridge West Devon Torridge


6.5 3.9 2.6 2.5 2.2 2.2 1.7 0.90

1

2

3

4

5

6

7

8

Exeter Mid Devon North

Devon

West Devon East Devon South Hams Teignbridge Torridge


Figure 16: Inset map for teen conception rate in Exeter.


6.6 Teen Conceptions

Within Exeter there are 9 wards with an under 18

conception rate higher than the Devon average and 5

wards with a rate lower than the Devon average. The

wards of Exwick, Priory and St James have a statistically

significantly higher rate compared to the NHS Devon

average.

Figure 17: Map showing teen conception rate by Devon

Ward - Data Source: ONS Ward under-18 conception

data 2006-08

The Adults section is divided into information relating to four main population groups:

- Older People Aged 65 and Over

- People with a Learning Disability Aged 18-64

- People with a Mental Health Condition

- People with a Physical Disability Aged 18-64

People receiving residential/ nursing care

People receiving community based care

People receiving targeted support services

People receiving an assessment

People receiving a review

This information relates to people receiving community based social care at any point during the year April 2010 to

March 2011, where the care was commissioned or provided by Devon Adult and Community Services. These services

include day care, home care, meals, direct payments, professional support and equipment /minor adaptations.

http://www.devon.gov.uk/index/socialcarehealth/sc-partnerships/providerengagement/market-position-statement.htm

This information relates to people receiving residential or nursing care at any point during the year April 2010 to March

2011, where the care was commissioned or provided by Devon Adult and Community Services (therefore excludes

privately arranged and self funded care).

Social care assessments are carried out for new clients, i.e. they are not receiving a social care service at the time of the

assessment. This information includes all those new clients assessed during the 12 month period April 2010 to March

2011.

This information relates to people receiving housing related support at any point during the year April 2010 to March

2011. These services are specifically aimed at helping people to establish independence in their own homes. Examples of

housing related support include helping people to manage their money, apply for benefits, keep their home secure and

access other services.

7. Adults

For each of these groups, a range of adult social care information is provided, which includes a comparison of the rates

for the Local Authority on the following topic areas:

Reviews of current needs are carried out for existing adult social care services users. This information counts all those

existing clients who have had a review completed in the 12 month period from April 2010 to March 2011.

A Devon-wide social care demand analysis has been completed as part of an adult social care Market Position Statement,

and this is a source of further detailed analysis of the social care needs of the people of Devon and can be viewed via the

following web link:-

Of the 168,500 population aged 65+ for 2010, it is estimated that:

- 70,248 of those will have a limiting long-term illness (42% of population 65+)

- 25,279 will have a limiting long-term illness and will also be living alone (73% will be aged 75+)

- 62,927 people aged 65+ are predicted to live alone (21,600 aged 65-74 and 41,327 aged 75+)

- 28,341 will be living alone without transport

- 70,543 will be unable to manage at least one domestic task on their own

- 57,978 will be unable to manage at least one self-care activity on their own

- 32,155 will be unable to manage at least one mobility activity on their own

- The above levels of need are predicted to increase by 66% by 2030

Data Source: CSED www.poppi.org.uk version 5.0. Crown copyright 2010

Please refer to section 7.3 for information regarding Dementia.

The following section provides information relating to the social care services and support provided to the 65+

population of Exeter.

Since 2008/09 there has been an overall decline in the total number of people placed in care homes as the Council with

its NHS partners has pursued its stated aim of supporting people to remain in their own homes wherever possible and

appropriate.

The graph below shows that the proportion of the 65+ population of in Exeter who received residential or nursing care

services during the year April 2010 to March 2011 was 25.9 per 1000 population aged 65+ compared to 21.1 for Devon

overall. The rate for Exeter is statistically higher than the Devon rate.

Figure 18: Proportion of population aged 65+ receiving ACS provided-commissioned residential-nursing care (2010-11) -

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).

Residential/ nursing care

7. Adults

7.1 Older People Aged 65 and Over

In 2010 there were an estimated 168,500 older people 65+ in Devon. It is predicted that this will increase to 264,400 by

2030, representing a 57% increase (2010 to 2030). It is predicted that the most significant increases in population will be

in the 80-84 and 85+ age bands up to 2020, with percentage increases of 83% and 104% respectively. Please refer to

page 5 for Local Authority specific population projections.

27.7 25.9 21.9 21.8 19.4 19.3 15.3 14.60

5

10

15

20

25

30

35

Teignbridge Exeter West Devon North

Devon

Torridge East Devon Mid Devon South Hams


Targeted Support Services

Figure 20: Proportion of population aged 65+ receiving housing related support (2010-11)- Data Source: Care Support

7. Adults


Community-based Care

The graph below shows that the proportion of 65+ population of Exeter who received community based care is 17.6

per 1000 population aged 65+ compared to 20.8 for Devon overall. The rate for Exeter is statistically lower than the

Devon rate.

Figure 19: Proportion of population aged 65+ receiving ACS provided-commissioned community based care (2010-11)-

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).

The graph below shows that the proportion of 65+ population of Exeter who received targeted support services is 29.8

per 1000 population aged 65+ compared to 28.9 for Devon overall. The rate for Exeter is not statistically different to the

Devon rate.

38.8 34.8 34.5 32.5 29.8 26.4 21.7 18.00

5

10

15

20

25

30

35

40

45

North

Devon

Torridge South Hams Mid Devon Exeter Teignbridge East Devon West Devon


23.0 22.8 22.5 22.1 21.3 20.7 17.6 15.70

5

10

15

20

25

30

North

Devon

Teignbridge East Devon Torridge West Devon South Hams Exeter Mid Devon


Figure 21: Proportion of population aged 65+ receiving assessments during the year per 1000 population (2010-11)-

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

The graph below shows that the proportion of adults (existing clients) receiving a review in Exeter is 68.2 per 1000

population aged 65+ compared to 54.1 for Devon overall. The rate for Exeter is statistically higher than the Devon rate.

Figure 22: Proportion of population aged 65+ receiving a review during the year per 1000 population (2010-11)- Data

Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

The graph below shows that the proportion of the 65+ population receiving a social care assessment (new clients) in

Exeter is 71 per 1000 population aged 65+ compared to 59.1 for Devon overall. The rate for Exeter is statistically higher

than the Devon rate.

Reviews

7. Adults


Assessments

71.0 65.3 63.4 57.8 56.0 55.4 54.7 47.30

10

20

30

40

50

60

70

80

Exeter North

Devon

Teignbridge Torridge West Devon East Devon South

Hams

Mid Devon


68.2 64.7 58.9 58.7 49.3 48.7 46.8 43.20

10

20

30

40

50

60

70

80

Exeter North

Devon

Torridge Teignbridge South

Hams

West Devon Mid Devon East Devon


-

- a rise in the reported number of school age children with autistic spectrum disorder

- greater incidence of learning disability in some BME groups of South Asian origin

Figure 23: Number of people aged 18-64 with learning disabilities receiving residential/nursing care per 1000 population

aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

4,426 people in Devon aged 18-64 are predicted to have autistic spectrum disorders. Data Source: CSED

www.pansi.org.uk version 4.0.

Of the 10,752 baseline estimate for 2010, 2,409 people are predicted to have a severe or moderate learning disability.

Severe learning disability is relatively evenly spread in the population, but mild to moderate learning disability is linked

to poverty and rates are higher in deprived and urban areas.

7. Adults

7.2 Adults with Learning Disabilities

more children and young people with complex and multiple disabilities surviving into adulthood – this raises

important issues for “Transitions Planning” (on average 35 children and young people with either a severe or

profound multiple learning disability in Devon will transfer to adult learning disability services each year for the

next four years.)

longer life expectancy (especially for people with down's syndrome), with the number of adults over 60 with

learning disabilities expected to increase by 36% between 2001 and 2021

10,752 people in Devon aged 18-64 are predicted to have a learning disability (baseline estimate). Based on population

projections, this number will increase by 4% to 11,199 by 2030. Data Source: CSED www.pansi.org.uk version 4.0.

The Devon Learning Disability Health Needs Assessment 2008 states that other factors which also lead to an increase in

the number of people with a learning disability include:


The following section provides information relating to the social care services and support provided to the 18-64

population of Exeter with a learning disability.

It has also been estimated that 110 service users in Devon are living with carers over 70 years of age and this figure is

likely to grow as people with learning disabilities and their carers live longer.

The graph below shows that the proportion of adults with learning disabilities living in a care home in Exeter who

received residential or nursing care services during the year April 2010 to March 2011 was 0.71 per 1000 population

aged 18 to 64 compared to 0.94 for Devon overall. The rate for Exeter is not statistically different to the Devon rate.

1.82 1.16 1.07 1.05 1.02 0.71 0.66 0.490.0

0.5

1.0

1.5

2.0

2.5

West Devon Teignbridge Torridge East Devon Mid Devon Exeter South

Hams

North

Devon



Figure 24: Number of people with learning disabilities aged 18-64 receiving community based care per 1000 population

aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Figure 25: Number of people with learning disabilities aged 18-64 receiving targeted support services per 1000

population aged 18-64 (2010-11) - Data Source: Care Support

The graph below shows that the proportion of adults aged 18-64 with learning disabilities receiving targeted support

services in Exeter is 0.9 per 1000 population aged 18-64 compared to 0.9 for Devon overall. The rate for Exeter is not

statistically different to the Devon rate.

7. Adults


The graph below shows that the proportion of adults aged 18-64 with learning disabilities receiving community based

care in Exeter is 2.8 per 1000 population aged 18-64 compared to 2.9 for Devon overall. The rate for Exeter is not



3.8 3.5 3.3 3.0 2.8 2.8 2.7 2.40.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

West Devon Mid Devon South

Hams

East Devon Torridge Exeter Teignbridge North

Devon


1.4 1.1 1.0 0.9 0.9 0.8 0.7 0.50.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

South

Hams

Mid Devon West

Devon

Exeter Teignbridge East Devon North

Devon

Torridge


The graph below shows that the proportion of adults with learning disabilities receiving a review in Exeter is 1.6 per

1000 population aged 18+ compared to 1.6 for Devon overall. The rate for Exeter is not statistically different to the

Devon rate.

Reviews

Figure 27: Proportion of population with learning disabilities receiving a review during the year per 1000 population

(2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Assessments

The graph below shows that the proportion of adults with learning disabilities receiving an assessment in Exeter is 0.35

per 1000 population aged 18+ compared to 0.33 for Devon overall. The rate for Exeter is not statistically different to the

Devon rate.

Figure 26: Proportion of population with learning disabilities receiving assessments during the year per 1000 population

(2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

7. Adults


0.51 0.41 0.35 0.35 0.29 0.25 0.24 0.230.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

Teignbridge West

Devon

Torridge Exeter North

Devon

East Devon Mid Devon South

Hams


2.5 2.2 1.9 1.6 1.4 1.4 1.3 1.10.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

Mid Devon West

Devon

Torridge Exeter South

Hams

East Devon Teignbridge North

Devon


71,733 People aged 18-64 predicted to have a common mental disorder

- 2,006 People aged 18-64 predicted to have a borderline personality disorder

- 1,550 People aged 18-64 predicted to have an antisocial personality disorder

- 1,783 People aged 18-64 predicted to have psychotic disorder

Data Source: CSED www.pansi.org.uk version 4.0. Crown copyright 2010

Incapacity Claimant Benefit

The graph below shows that the number of adults in Exeter receiving an Incapacity Benefit / Severe Disablement

Allowance as of February 2011 was 21.6 per 1000 adults of working age compared to 19.9 for Devon overall. The rate for

Exeter is statistically higher than the Devon rate.

Figure 28: Incapacity Benefit / Severe Disablement Allowance Claimants at February 2011 - Data Source: DWP

Information Directorate

The following shows the 2010 estimates for people predicted to have various mental health conditions living in Devon:

It is predicted that these figures will rise by 3% by 2030, with the exception of antisocial personality disorder which is

predicted to increase by 5%.

The association between rates of mental illness and certain population characteristics – notably poverty, unemployment

and social isolation – is well established. This association is evidenced when analysing Incapacity Benefit (mental health

reasons) claimant rates by Devon town (2007 rates), where we see that Ilfracombe has the highest claimant rate,

followed by Dawlish and then Bideford & Northam. All three rank in the top five most deprived towns in Devon.

Data Source: Devon Public Health, Devon Town Benefits Summary May 2007 (Mental Health Needs Assessment)

15,095 people in Devon aged 18-64 are predicted to be dependent on drugs in 2010, with 66% of these being male. This

is predicted to rise by 4% to 15,713 by 2030.

26,616 people in Devon age 18-64 are predicted to have alcohol dependence in 2010, with 72% of these being male.

This is predicted to rise by 4% to 27,759 by 2030.

It is predicted that 221 people aged between 30 and 64 in Devon have early onset dementia of which 58% are male. This

is predicted to rise by 6% to 235 by 2030. Early onset dementia is most prevalent in the 50-59 age band for both men

and women.

7. Adults

7.3 Adults with Mental Health Conditions

25.9 23.8 21.6 19.8 18.6 18.1 16.9 15.80

5

10

15

20

25

30

Torridge North

Devon

Exeter Teignbridge South

Hams

West

Devon

Mid Devon East Devon


Figure 29: Number of people aged 18-64 with a mental health condition receiving residential/nursing care per 1000

population aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return

2010-11)

Older People 65+ with Mental Health Conditions

The graph below shows that the proportion of adults aged 18 -64 with a mental health condition living in a care home

in Exeter who received residential or nursing care services during the year April 2010 to March 2011 was 0.35 per 1000

population aged 18 to 64 compared to 0.21 for Devon overall. The rate for Exeter is not statistically different to the

Devon rate.


population of Exeter with a mental health condition.

Older people with dementia usually continue to live at home with support, but may benefit from specialist

accommodation, including extra care housing. There were an estimated 12,561 people suffering from Dementia in

Devon in 2010, this is predicted to rise significantly to 23,076 by 2026 (a rise of 84% in 16 years).

The most common mental health problems in older people are depression and dementia. Depression affects

proportionately more older people than any other demographic group, because older people face more events and

situations that may trigger depression: physical illness, debilitating physical conditions, bereavement, poverty and

isolation. The majority of people who have depression make a full recovery after appropriate treatment, and older

people are just as responsive to treatment as younger people. Communities and support services can help older people

address some of the causes of depression such as social isolation, financial problems, or difficulties with their

accommodation.

7. Adults



0.49 0.35 0.24 0.19 0.19 0.170.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

Torridge Exeter Teignbridge Mid Devon West Devon North

Devon

East Devon South Hams


Figure 31: Number of people aged 18-64 with a mental health condition receiving targeted support services per 1000


Figure 30: Number of people aged 18-64 with a mental health condition receiving community based care per 1000

population aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return

2010-11).



The graph below shows that the proportion of adults aged 18-64 with a mental health condition receiving targeted

support services in Exeter is 0.59 per 1000 population aged 18 to 64 compared to 0.3 for Devon overall. The rate for

Exeter is statistically higher than the Devon rate.

The graph below shows that the proportion of adults aged 18-64 with a mental health condition receiving community

based care in Exeter is 0.69 per 1000 population aged 18 to 64 compared to 0.69 for Devon overall. The rate for Exeter is

not statistically different to the Devon rate.

7. Adults


1.51 0.97 0.72 0.69 0.49 0.47 0.45 0.350.0

0.5

1.0

1.5

2.0

2.5

Torridge East Devon North

Devon

Exeter Mid Devon West

Devon

Teignbridge South

Hams


0.59 0.42 0.42 0.35 0.25 0.130.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

Exeter North

Devon

Torridge East Devon West

Devon

Teignbridge Mid Devon South

Hams


The graph below shows that the proportion of adults with a mental health condition receiving a review in Exeter is 2.5

per 100,000 population aged 18 to 64 compared to 2.4 for Devon overall. The rate for Exeter is not statistically different

to the Devon rate.

Figure 33: Proportion of population with a mental health condition receiving a review during the year per 1000

population (2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Figure 32: Proportion of population with a mental health condition receiving assessments during the year per 1000

population (2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

The graph below shows that the proportion of adults with a mental health condition receiving an assessment in Exeter

is 1.3 per 1000 population aged 18 to 64 compared to 1.6 for Devon overall. The rate for Exeter is not statistically

different to the Devon rate.

Reviews

Assessments

7. Adults


2.1 1.8 1.8 1.5 1.5 1.3 1.2 1.00.0

0.5

1.0

1.5

2.0

2.5

3.0

North

Devon

East Devon Teignbridge West

Devon

Torridge Exeter South

Hams

Mid Devon


3.4 2.5 2.3 2.3 2.2 2.1 1.9 1.40.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Teignbridge Exeter East Devon Torridge North

Devon

West

Devon

South

Hams

Mid Devon


For Devon, during 2010, it is predicted that:-

-

-

-

- 830 people aged 18-64 were registered blind or partially sighted (March 2011)

- 3,745 people across all age groups (0+) were registered blind or partially sighted (March 2011)

- 280 people aged 18-64 were registered as deaf (March 2010)


population of Exeter with a physical disability.

There are known to be more people in Devon who have a visual impairment who are not registered.

Data Source: NHS IC Registered Blind and Partially Sighted Statutory Return 2010/11, Tables B1 and PS1

48,996 people aged 18-64 had a moderate or serious physical disability (46% of whom are aged 55-64 years). It is

predicted that this number will increase by 4% (to 51,089) by 2030. Of the 48,996, 24% (11,579 people) are

predicted to have a serious physical disability.

The graph below shows that the proportion of adults aged 18-64 with physical disabilities in Exeter who received

residential or nursing care services during the year April 2010 to March 2011 was 0.28 per 1000 population aged 18 to

64 compared to 0.3 for Devon overall. The rate for Exeter is not statistically different to the Devon rate.


Number of people aged 18-64 with physical disabilities receiving residential/nursing care per 1000 population aged 18-

64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Of the 48,996 people predicted to have a moderate or serious physical disability, 23,045 (47%) are estimated to

require personal care. This is anticipated to increase by 5.8% to 24,371 by 2025. Data Source: CSED

www.pansi.org.uk version 4.0. Crown copyright 2010

20,053 people aged 18-64 living in Devon during 2010 had a moderate or severe hearing impairment. It is

predicted that this number will increase by 5% (to 21,022) by 2030.

The NHS Information Centre statutory returns Registered Blind and Partially Sighted, and People Registered Deaf or

Hard of Hearing indicate that in Devon:

7. Adults

7.4 Adults with Physical Disabilities

0.63 0.37 0.34 0.28 0.25 0.20 0.16 0.130.0

0.2

0.4

0.6

0.8

1.0

West

Devon

North

Devon

Teignbridge Exeter Mid Devon South

Hams

Torridge East Devon


Figure 36: Number of people with physical disabilities aged 18-64 receiving targeted support services per 1000


The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving targeted support

services in Exeter is 1.3 per 1000 population aged 18-64 compared to 1.6 for Devon overall. The rate for Exeter is not




Figure 35: Number of people 18-64 with physical disabilities receiving community based care per 1000 population aged

18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).


The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving community based

care in Exeter is 6.1 per 1000 population aged 65+ compared to 5.5 for Devon overall. The rate for Exeter is not


7. Adults

6.2 6.1 5.9 5.5 5.4 5.1 5.1 4.50

1

2

3

4

5

6

7

8

North

Devon

Exeter West Devon Torridge East Devon South Hams Teignbridge Mid Devon


2.6 1.8 1.6 1.5 1.4 1.3 1.0 0.80.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

East Devon Mid Devon North

Devon

Torridge Teignbridge Exeter South

Hams

West Devon


The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving an assessment in

Exeter is 15.1 per 1000 population aged 18-64 compared to 17.3 for Devon overall. The rate for Exeter is statistically

lower than the Devon rate.

Figure 38: Number of people with physical disabilities aged 18-64 receiving a review per 1000 population aged 18-64

(2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Reviews

The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving a review in Exeter is

12.2 per 1000 population aged 18-64 compared to 14 for Devon overall. The rate for Exeter is statistically lower than

the Devon rate.


7. Adults

Figure 37: Number of people with physical disabilities aged 18-64 receiving an assessment per 1000 population aged 18-

64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).

Assessments

17.1 15.9 14.4 14.0 13.1 12.9 12.2 12.00

2

4

6

8

10

12

14

16

18

20

North

Devon

Torridge Teignbridge East Devon South Hams West Devon Exeter Mid Devon


19.0 18.8 18.6 17.7 17.5 16.5 15.1 13.70

5

10

15

20

25

East Devon North

Devon

Teignbridge Torridge West Devon South

Hams

Exeter Mid Devon


Evidence shows that, of those for whom carers provide support:

- 62% have a physical disability

- 6% experience mental ill health, including dementia

-

- 14% are older person with age-related care needs

Data Source: http://www.devon.gov.uk/devon_carers_strategy_finaldrafttargetted_consultation_sept_2009.pdf

The Carers Health Needs Assessment 2008 indicates the impact of caring on carers’ health:

-

- 39% of carers reported an impact on their physical and mental health

- 20% reported feeling tired or had a general feeling of stress

- 17% felt short tempered

- 14% reported feeling depressed or experienced disturbed sleep

The Devon Carers Health Needs Assessment 2008 indicates that more than 72,400 people (of all ages) in Devon have a

caring role (Census 2001 figures), 12% (approximately 8,700) of whom were aged 65 years and older, with 6,300 or 9%

aged 75 years of age or over. The Census 2001 indicates that in Devon there are just over 2,000 young carers aged up to

19 years (less than 3% of carers of all ages), although it is believed that there are significantly more. Roughly half of

young carers – 1,084 – are aged below 16 years of age. Of the 8,700 carers in Devon aged 65+, 2,884 are providing

unpaid care to a partner, family member or other person, but consider themselves to be in poor health. Data Source:

Census 2001

18% have both a mental and physical disability – which could include learning disability, or dependence on drugs or

alcohol

47% of elderly carers report a limiting long-term illness compared to 41% of people the same age in the general

population

7. Adults

7.5 Carers Services/Support and User/Carer Feedback

If Devon is to achieve its ambition of increasing by 10% the number of people with moderate to severe dementia who

are helped to remain at home by 2013, a range of support services for carers will be essential. The rising prevalence of

chronic illness and the commitment to support people to stay in the community through self-care, choice and

personalised care planning will have an impact on both current and future carers. Source: Devon Carers Health Needs

Assessment, Devon Carers Strategy

14,400 (20%) of carers provide more than 50 hours of care and support per week. Across the county the numbers vary

with the highest proportion in several of the North Devon towns and the coastal areas of East Devon – those areas with

a higher older-age population.

Figure 40: Key questions from the statutory Adult Social Care Survey (ASCS) (2011), Exeter compared to Devon.

User/Carer Feedback (Social Care)

The results of the survey have been analysed in terms of positive responses as a percentage of all responses to each

question (i.e. Q. Which of the following statements best describes how much control you have over your daily life? A. I

have as much control over my daily life as I want; I have adequate control over my daily life). The results for a selection

of key questions, based on responses received from people living in Exeter are shown below.

Figure 39: Number of people receiving an assessment or review from a carer per 1000 population aged 18+ (2010-11) -

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

7. Adults

7.5 Carers Services/Support and User/Carer Feedback

Carer assessments and reviews

The graph below shows that the proportion of adult carers aged 18+ receiving an assessment or review in Exeter is 12.2

per 1000 population aged 18+ compared to 14.9 for Devon overall. The rate for Exeter is statistically lower than the

Devon rate.

The statutory Adult Social Care Survey (ASCS) was undertaken for the first time in February 2011. 1099 questionnaires

were posted to clients over 18 from all client groups and receiving any type of service and 454 responses were received.

18.2 18.1 17.3 14.1 13.2 12.2 10.9 10.60

5

10

15

20

25

North Devon Teignbridge East Devon Torridge South Hams Exeter Mid Devon West Devon


81%

89%

63%

72%

86%

94%

83%

92%

66%

52%

46%

96%

77%

96%

100%

100%

100%

96%

81%

65%

0% 20% 40% 60% 80% 100%

Q20 Can usually get to local places want to get to

Q11 Happy with way helped and treated

Q9 Able to spend time doing things want to do

Q8 Happy with social contact

Q7 Feel safe

Q6 Clean and comfortable home

Q5 Happy with food and drink

Q4 Feel clean and presentable

Q3 Feel in control of daily life

Q1 Very satisfied with support

Q20 Can usually get to local places want to get to

Q11 Happy with way helped and treated

Q9 Able to spend time doing things want to do

Q8 Happy with social contact

Q7 Feel safe

Q6 Clean and comfortable home

Q5 Happy with food and drink

Q4 Feel clean and presentable

Q3 Feel in control of daily life

Q1 Very satisfied with support

18-64

65+

Significant

Devon

Exeter

Crime Exeter Rate Devon Rate Statistical Significance

Domestic Violence 20.5 14.1 statistically higher

Drug Related 2.8 1.9 statistically higher

Alcohol Related 9.9 5.7 statistically higher

The Home Office estimates that 7% of women and 5% of men will be have been victims of domestic violence in the past

year, with around 75% of these being repeat victims. The majority of these people will not have reported the incident

to the police and as such the figures below are an underestimate of the issue.

Domestic Violence Cases

Figure 42: Number of domestic violence cases per 1000 population aged 18+ (2010-11) - Data Source: Crime in England

and Wales, Home Office

The graph below shows that the number of reported cases of domestic violence in Exeter is 20.5 per 1000 population

aged 18+ compared to 14.1 for Devon overall. The rate for Exeter is statistically higher than the Devon rate.

7. Adults

Figure 41: Crime rates for Exeter per 1000 population aged 18+. - Data Source: Various

This section provides information on domestic violence cases and drug and alcohol related crime. All rates have been

calculated per 100,000 adult (18+) population. The below table and graphs compare the rates for the Exeter area to the

Devon rate and other market town areas.

7.6 Crime

20.5 18.2 14.2 13.2 13.0 11.6 9.2 9.00

5

10

15

20

25

Exeter North

Devon

Teignbridge Mid Devon Torridge East Devon South Hams West Devon


The graph below shows that the number of annual drug related crimes in Exeter is 2.8 per 100,000 population aged 18+

compared to 1.9 for Devon overall. The rate for Exeter is statistically higher than the Devon rate.

Drug Related Crime

Figure 44: Number of alcohol related crimes per 1000 population aged 18+ (2008-09 to 2009-10) - Data Source: Devon

and Cornwall Constabulary Crime Data

For the purpose of this profile, the number of alcohol related crimes has been defined as the number of times an

individual has been charged with either VV4 - violence in the vicinity of a licensed premises, VV5 - violence under the

influence of an intoxicating substance, or a combination of these two.

Figure 43: Number of drug related crimes per 1000 population aged 18+ (2008-09 to 2009-10) - Data Source: Devon and

Cornwall Constabulary Crime Data

The graph below shows that the number of annual alcohol related crimes in Exeter is 9.9 per 1000 population aged 18+

compared to 5.7 for Devon overall. The rate for Exeter is statistically higher than the Devon rate.

Alcohol Related Crimes

7. Adults

7.6 Crime

3.1 2.8 1.9 1.5 1.4 1.4 1.3 1.10.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

North

Devon

Exeter Torridge Teignbridge Mid Devon South

Hams

East Devon West

Devon


9.9 8.3 4.8 4.8 4.6 4.0 3.4 3.40

2

4

6

8

10

12

Exeter North

Devon

Teignbridge Torridge East Devon Mid Devon West Devon South Hams

DCC Locality Exeter Significant Devon

Current smoking rates in England are 21% generally

and 26% for routine and manual groups (R/M). For

Devon the most recent estimated smoking rate is

18.5% . However, in the South West smoking rates

for R/M groups are 25%. Although Devon overall has

tobacco use lower than the national average, there

are 76/201 wards where tobacco attributable

mortality is higher than expected and three regions

(Exeter, North Devon and Torridge) where the

indirectly standardised mortality ratio is higher than

expected This indicates that there are pockets where

there is a strong need for tobacco control work. In

Devon around 1 in 8 women smoke in pregnancy

(12%). Although this is better than the national

average, the impact is startling. Smoking during

pregnancy is estimated to contribute to 40% of all

infant deaths. Highest smoking rates are in the

deprived populations and is the leading factor in

increased health inequalities. Figure 45: Inset map for Exeter.

Figure 46: Modelled Medium Super Output Area Smoking prevalence in Devon (2003-05) - Data Source: Healthy

Lifestyle Behaviours, Model Based Estimates

7. Adults

7.7 Smoking

The graph below shows that in Exeter the directly age standardised rate of outpatient attendances is is 1071 per 1,000,

compared to a rate of 1138 per 1,000 for Devon. The rate for Exeter is statistically lower than the Devon rate.

Figure 48: Directly age standardised rate of accident and emergency attendances per 100,000 population (2011) - Data

Source: Secondary Uses Service Commissioning Dataset

Figure 47: Directly age standardised rate of outpatient attendances per 100,000 population (2011) - Data Source:

Secondary Uses Service Commissioning Dataset

The graph below shows that in Exeter the directly age standardised rate of accident and emergency attendances is is

368 per 1,000, compared to a rate of 341 per 1,000 for Devon. The rate for Exeter is statistically higher than the Devon

rate.

8.2 Accident and Emergency Attendances

8.1 Outpatient Attendances

8. Hospital Activity

1527 1479 1151 1071 1036 1009 1005 9740

200

400

600

800

1000

1200

1400

1600

1800

Torridge North

Devon

Teignbridge Exeter South

Hams

Mid Devon West

Devon

East Devon

DASR Exeter Significant Difference Devon

411 387 368 368 330 301 257 2220

50

100

150

200

250

300

350

400

450

Teignbridge East Devon Exeter Mid Devon Torridge North

Devon

South

Hams

West

Devon


The graph below shows that in Exeter the directly age standardised rate of elective admissions is 210 per 100,000,

compared to a rate of 155 per 100,000 for Devon. The rate for Exeter is statistically higher than the Devon rate.

Figure 49: Directly age standardised rate of elective admissions per 100,000 population (2011) - Data Source: Secondary

Uses Service Commissioning Dataset

Figure 50: Directly age standardised rate of emergency admissions per 100,000 population (2011) - Data Source:

Secondary Uses Service Commissioning Dataset

The graph below shows that in Exeter the rate of emergency admissions is is 78.4 per 100,000, compared to a rate of

69.5 per 100,000 for Devon. The rate for Exeter is not statistically different to the Devon rate.

8.4 Emergency Admissions


8.3 Elective Admissions

210 175 165 156 136 135 133 1100

50

100

150

200

250

Exeter Mid Devon East Devon Teignbridge North

Devon

Torridge West

Devon

South

Hams


78 75 71 71 70 66 65 640

10

20

30

40

50

60

70

80

90

100

Exeter North

Devon

West

Devon

Teignbridge Torridge South

Hams

Mid DevonEast Devon


The graph below shows that in Exeter the directly age standardised rate of alcohol related admissions is 1576 per

100,000, compared to a rate of 1387 per 100,000 for Devon. The birth rate for Exeter is statistically signifcantly

higher than the NHS Devon rate.

Figure 51: Directly age standardised rate of alcohol related admissions per 100,000 population (2008-10) - Data

Source: Secondary Uses Service Commissioning Dataset


8.5 Alcohol Related Admissions

Alcohol-Related admissions include those where acute, chronic and mental conditions are known to relate either

fully or partially to alcohol use. Further details on how these figures are derived can be found in the glossary.

1605 1576 1515 1451 1339 1271 1213 11530

200

400

600

800

1000

1200

1400

1600

1800

2000

North

Devon

Exeter Torridge Teignbridge West

Devon

South

Hams

East Devon Mid Devon

DASR per 100,000 Exeter Significant Difference Devon

Exeter - devonhealthandwellbeing.org.uk€¦ · The population of Exeter is predicted to increase...

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Transcript of Exeter - devonhealthandwellbeing.org.uk€¦ · The population of Exeter is predicted to increase...